Late metastatic endometrial carcinoma at the repair site of an abdominal wall incisional hernia

Abdul-Wahed N. Meshikhes, Suha H. Al-Badr, Ehsan A. Sulais, Hibba M. Al-Qudaihi


The abdominal wall is a very rare site for endometrial cancer metastases. Its appearance generally indicates advanced cancer with poor prognosis. We report a case of a 55-year-old female who presented with an incisional hernia 4 years after abdominal panhysterectomy for endometrioid adenocarcinoma in 2009. Open hernia mesh repair was performed but on follow-up, she complained of pain and a swelling at the repair site. This was radiologically diagnosed as fibromatosis, but tru-cut biopsy confirmed presence of fibromatosis as well as a metastatic endometrial carcinoma. She was started on neoadjuvant chemotherapy, but had poor response, and therefore, radical excision was performed. She remained well with no metastatic recurrence at 12-month follow-up. This case illustrates late appearance of abdominal wall metastasis from abdomino-pelvic malignancies and highlights the need to exclude the presence of recurrence or metastases prior to surgical repair of incisional hernia occurring after the resection of abdominal or pelvic malignancy. 


Saudi Med J 2017; Vol. 38 (5): 546-548
doi: 10.15537/smj.2017.5.17395

How to cite this article:
Meshikhes AN, Al-Badr SH, Sulais EA, Al-Qudaihi HM. Late metastatic endometrial carcinoma at the repair site of an abdominal wall incisional hernia. Saudi Med J. 2017 May;38(5):546-548. doi: 10.15537/smj.2017.5.17395.



Endometrial cancer; metastasis; incisional hernia; fibromatosis

Full Text:



Hacker N, Friedlander M. Uterine cancer. In: Berek JS, Hacker NF, editors. Berek and Hacker’s Gynecology Oncology. Philadelphia (PA) Lippincott Williams & Wilkins; 2010. p. 397-442.

Gabriele R, Conte M, Egidi F, Borghese M. Umbilical metastases: current viewpoint. World J Surg Oncol 2005; 3: 13.

Kurra V, Krajewski KM, Jagannathan J, Giardino A, Berlin S, Ramaiya N. Typical and atypical metastatic sites of recurrent endometrial carcinoma. Cancer Imaging 2013; 13: 113-122.

Arif A, Abideen ZU, Zia N, Khan MA, Nawaz T, Malik AZ. Metastatic involvement of the spleen by endometrial adenocarcioma; a rare asylum for a common malignancy: a case report. BMC Res Notes 2013; 6: 476.

Addison AB, Miller K, Hammouch D, Waraich N, Kaye P, Kapur R, et al. Appendiceal metastasis 10 years following ‘curative’ resection for low-grade primary endometrial carcinoma. BMJ Case Rep 2012; 2012 pii: bcr1020114895.

Blazer DG 3rd, Ramirez PT, Wang H, Fleming JB. Distal pancreatectomy for isolated metastasis of endometrial carcinoma to the pancreas. JOP 2008; 9: 56-60.

Palomba S, Falbo A, Oppedisano R, Russo T, Zullo F. Isolated port-site metastasis after laparoscopic surgery for endometrial cancer: A case report. Gynecol Oncol Case Rep 2011; 2: 16-17.

Park JW, Hwang SO. Abdominal wall metastasis of uterine papillary serous carcinoma in a post-menopausal woman: a case report. J Menopausal Med 2014; 20: 35-38.

Luz R, Leal R, Simões J, Gonçalves M, Matos I. Isolated abdominal wall metastasis of endometrial carcinoma. Case Rep Obstet Gynecol 2014; 2014: 505403.

Colombo N, Preti E, Landoni F, Carinelli S, Colombo A, Marini C, et al. Endometrial cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2013; 24 Suppl 6: vi 33-vi 38.


  • There are currently no refbacks.

Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.